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Sweden 🇸🇪

The tender seeks to establish a comprehensive, nationwide system for the continuous, timely monitoring of all‑cause mortality across the European Union, the European Economic Area and Stabilisation and Association Agreement states. The objective is to provide a robust indicator of the population‑level impact of communicable diseases and other major public health threats, with particular emphasis on seasonal and pandemic influenza, SARS‑CoV‑2, respiratory syncytial virus and comparable respiratory pathogens. By modeling excess mortality from vital statistics time‑series, the system will enable early warning of acute health effects, support evidence‑based public health planning, and complement existing disease‑specific surveillance networks.

The project will develop and maintain a network of national institutes and study sites to collect, harmonise and analyse mortality data from all EU/EEA/SAA member states. It will implement continuous, real‑time data‑collection pipelines, analytical methods for estimating expected mortality, and age‑ and geography‑specific excess‑mortality outputs. In addition, the tender calls for capacity building in member‑state authorities, dissemination of findings to scientific, professional and public audiences, and integration of excess‑mortality results into existing ECDC respiratory‑virus surveillance. Continuity of monitoring during pandemics, extreme environmental events or unexpected public health crises is a key requirement, and the final system must be designed to allow a seamless handover to the ECDC if requested.

The procurement requires that the methodological framework adopt the harmonised approaches developed in the 2022‑2026 “Excess mortality monitoring in Europe to assess impact of communicable diseases” project, ensuring alignment with ECDC standards and facilitating integration into broader supranational monitoring initiatives. The system shall comply with the EuroMOMO methodology and ECDC data integration standards.